[项目TANGO培训:在青少年保护和CLSC中支持与边缘性人格障碍患者的干预]
Lyne Desrosiers1, Lise Laporte2
1Département d'ergothérapie, Université du Québec à Trois-Rivières, Québec, Canada; Institut universitaire jeunes en difficulté, Québec, Canada.
Sante mentale au Quebec
|June 6, 2023
概括
项目TANGO培训改善了临床医生与边缘性人格障碍 (BPD) 患者工作的干预技能. 青少年保护从业者表现出更好的准备,而CLSC临床医生改善了对BPD的干预技能和态度.
科学领域:
- 精神病学和临床心理学
- 心理健康专业培训 心理健康专业培训
- 边界性人格障碍 (BPD) 干预措施
背景情况:
- 临床医生在与边缘性人格障碍 (BPD) 患者工作时,由于关系和参与困难,面临情绪激活和同情疲劳.
- 有效的干预需要临床医生调节负面情绪和相关行为,但这些技能往往没有明确教.
- 项目TANGO旨在为临床医生提供自我调节策略,从辩证行为疗法到对情绪苛刻的干预.
研究的目的:
- 评估项目TANGO培训对临床医生的干预技能和准备能力的影响.
- 评估情绪调节的变化,对BPD的态度,专业生活质量和医疗保健从业人员的自尊.
主要方法:
- 采用了混合方法设计,评估了TANGO项目,其中有184名青少年保护 (YP) 和CLSC环境中的从业者.
- 对情绪调节,对BPD的态度,职业生活质量和自尊的定量测量在训练前,训练后和3个月后进行了追踪.
- 培训前和培训后的重点小组进行了探索干预挑战和不那么可量化的培训效应.
主要成果:
- 青少年保护 (YP) 实践者在培训后三个月表现出明显的改善,即准备干预,对客户的积极看法和态度,同情满意度,以及减少同情疲劳.
- 在完成培训后,CLSC临床医生在认知,对BPD的态度和同情满意度方面表现出立即的好处.
- 测试前的测量表明,与CLSC临床医生相比,YP工作人员的得分更为有利;定性分析显示了与倦怠相关的情绪调节策略,如YP工作人员掩盖情绪.
结论:
- 项目TANGO培训为YP从业者和CLSC临床医生带来了不同的好处.
- 培训增强了YP从业人员对干预挑战的理解,并提高了他们的准备能力.
- 最初与干预相关的更强有力的CLSC临床医生从这次培训中受益,进一步提高了他们的干预技能.
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